Individual
FELTON ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
106 IRVING ST NW, SUITE 314 SOUTH, WASHINGTON, DC 20010-2927
(202) 877-5290
(202) 877-5292
Mailing address
106 IRVING ST NW, SUITE 314 SOUTH, WASHINGTON, DC 20010-2927
(202) 877-5290
(202) 877-5292
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
D0041182
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
026587800
—
DC
05
—
760451301
—
MD
01
—
DB5199
RR MEDICARE
DC
01
—
H914
BLUE SHIELD DC
DC
Enumeration date
11/03/2005
Last updated
04/28/2016
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